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1427228477
ERIC THOMAS KINGSBURY
BUFFALO, NY
NPI
1427228477
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 21569)
Enumeration Date
2008-03-05
Last Update Date
2008-03-05
Business Address
Mr. ERIC THOMAS KINGSBURY CASAC T
3020 BAILEY AVE
BUFFALO, NY 14215-2814
Phone number: 716-833-3622
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Mailing Address
Mr. ERIC THOMAS KINGSBURY CASAC T
52 TUSCARORA RD
BUFFALO, NY 14220-2028
Phone number: 716-572-2479
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